Late outcome of tricuspid annuloplasty using a flexible band/ring for functional tricuspid regurgitation

Circulation Journal : Official Journal of the Japanese Circulation Society
Naoto FukunagaTadaaki Koyama

Abstract

We assessed late outcome after tricuspid annuloplasty (TAP) using a flexible band or ring for functional tricuspid regurgitation (FTR). We reviewed 220 consecutive patients (mean age, 65.4±11.4 years) who underwent TAP for FTR during mitral valve surgery between January 2000 and December 2010. Indications for TAP included the following: (1) TR grade greater than mild; (2) history of right heart failure; (3) atrial fibrillation; and (4) systolic pulmonary artery pressure (SPAP) ≥50 mmHg. The mean follow-up period was 4.4±2.6 years. Overall hospital mortality was 5.5% (12/220). The 5- and 10-year survival rates were 90.2±2.1% and 82.4±5.6%, respectively. Freedom from recurrent TR at 8 years was 78.0±6.6%. Twenty patients had a greater than mild TR grade at final follow-up. Elevated SPAP was a predictor of recurrent TR (hazard ratio, 1.091; P=0.0003), which was associated with advanced age, atrial fibrillation, rheumatic etiology and preoperative TR grade. There was a significant difference in freedom from valve-related events between residual TR greater than mild and less than moderate (log-rank test, P=0.0464). Factors affecting residual TR were preoperative TR grade (OR, 7.368; P=0.0267) and mitral valve replacement (OR, 4.369;...Continue Reading

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Citations

Mar 11, 2016·Circulation Journal : Official Journal of the Japanese Circulation Society·Jae-Woong ChoiHo Young Hwang
Jun 29, 2016·General Thoracic and Cardiovascular Surgery·Tadashi IsomuraMasahiro Endo
Feb 22, 2017·The Annals of Thoracic Surgery·Naoto Fukunaga, Tadaaki Koyama
May 26, 2017·Journal of Cardiac Surgery·Naoto Fukunaga, Tadaaki Koyama
Sep 10, 2019·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Yang GaoXu Meng
Jul 12, 2020·Journal of Cardiac Surgery·Antonio M CalafioreMichele Di Mauro
May 2, 2017·Circulation Journal : Official Journal of the Japanese Circulation Society·Hiroki HataJunjiro Kobayashi
Apr 17, 2019·Nature Reviews. Cardiology·Lluis AsmaratsJosep Rodés-Cabau
Nov 27, 2020·The Annals of Thoracic Surgery·Khaled D AlgarniAmr A Arafat

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